Provider Type Icon

WELLSPRING INC. NPI 1275526303


NPI Information

NPI: 1275526303
Provider Name: WELLSPRING, INC.

Doing Business As: WELLSPRING

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
255 HAMMOND ST.
BANGOR, ME
ZIP 04401
Phone: (207) 941-1612
Get Directions

WELLSPRING, INC. is a substance abuse rehabilitation facility in Bangor, ME. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WELLSPRING, INC. NPI is 1275526303. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellspring.

The provider's business location address is:

255 HAMMOND ST.
BANGOR, ME
ZIP 04401-294
Phone: (207) 941-1612
Fax: (207) 941-1634

The provider's authorized official is Patricia A. Kimball .
The authorized official title is Executive Director Registered Agent and has the following contact phone number (207) 941-1612.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 8/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health291041MAINENo
2324500000XSubstance Abuse Rehabilitation Facility290961MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1164940100MEDICAIDMAINE
2=========OTHERMAINEEID# FOR OTHER INS
3164940001MEDICAIDMAINE
4164940003MEDICAIDMAINE
5164940000MEDICAIDMAINE
6164940002MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.